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INDONESIA
Jurnal Administrasi Kesehatan Indonesia
Published by Universitas Airlangga
ISSN : 23033592     EISSN : 25409301     DOI : -
Core Subject : Health,
Jurnal Administrasi Kesehatan Indonesia (JAKI) is a scientific journal that contains editorials, research articles, and literature reviews related to the scope of the management, organization and leadership in health institutions. This journal is supported by practitioners and scientists from various institutions which involve expertises in health management and health organization. JAKI (p-ISSN 2303-3592, e-ISSN 2540-9301) has mission in developing knowledge in health administration through publication. Based on this mission, this journal aims at facilitating numerous experts in the field of Health Administration to share their ideas and scientific studies in order to improve the quality of healthcare services.
Arjuna Subject : -
Articles 308 Documents
STRENGTHENING DISTRICT HEALTH MANAGEMENT IN LOW-MIDDLE INCOME COUNTRIES: REFLECTIONS AND WAY FORWARD Maye Abu Omar
Indonesian Journal of Health Administration Vol. 8 No. 2 (2020): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v8i2.2020.123-140

Abstract

Introduction: Health systems in low-middle income countries are undergoing considerable changes in a context of ongoing health sector reforms. Districts have, therefore, been increasingly recognised as the level where health policies and health sector reforms are interpreted and implemented. At the same time, decentralisation in its different forms has become a popular reform in many countries, and this increases the importance of ensuring that districts have the organisational capacity to offer a good service.Aim: The article investigates the process, challenges and opportunities of health system development at district level in low-middle income countries.Discussion: While district strengthening is probably necessary in relation to the success of all other health reforms, it is argued that it has not been accorded the importance probably because it is not seen as glamorous. The district health management team must include both strengthening the capacity of individuals, but crucially also, improvement of systems. Many initiatives have been patchy and fail to provide a consistent national approach. The persistence of top-down approaches to health care works directly against districts being able to take charge of their own affairs.Conclusions: A shared vision of district strengthening must be achieved in order to progress with the achievement of Universal Health Coverage and Sustainable Development Goals. Keywords: district health strengthening, capacity building, low-middle income countries, universal health coverage.
THE EFFECT OF HEADS’ LEADERSHIP AND NURSES’ JOB MOTIVATION ON NURSING PERFORMANCE IN THE HOSPITAL INPATIENT ROOM Budi Hartono; Alfi Hidayati; Tri Kurniati; Nur'Aina Basir
Indonesian Journal of Health Administration Vol. 8 No. 2 (2020): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v8i2.2020.175-187

Abstract

Background: The fluctuated patient satisfaction level shows the need to improvenursing performance. Several factors that can improve nursing performance includeleadership, job motivation, management and environment. Leadership and job motivationbecome fundamental aspectsin improving employee performance. Aim: This study analyzedtherole of manager’s leadership and nurses’job motivation on nursing performance in the inpatient room ofthe Indonesian Red Cross Hospital Bogor.Methods: This study sampled a total of 150 nurses in the inpatient roomof the Indonesian Red Cross Hospital Bogorusing the incidental random sampling technique. This study employed a path analysis with three variables, such as manager’s leadership and job motivation as exogenous variables and nursing performance as an endogenous variable.Results: Leadership of the head of the inpatient room couldincrease job motivation and nursing performance.Conclusion: Manager’s leadership and job motivation could affect the level of nurses’ performancepartially and simultaneously. The Indonesian Red Cross Hospital Bogor could provide regular training to every head of the room to enhance their leadership and nurses’ job motivation. Keywords: leadership, job motivation, nurses’ work performance.
LESSONS FROM PRIMARY HEALTH CARE IN THE UNITED KINGDOM Dian Kusuma
Indonesian Journal of Health Administration Vol. 9 No. 1 (2021): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v9i1.2021.4-8

Abstract

The health system in Indonesia is facing the persistent burden of maternal mortality and infectious diseases (including COVID-19) and an increasing burden of non-communicable diseases. Thus, health system reform and innovations at all levels are needed, including through lessons learned from other countries. There are at least five lessons from primary health care in the United Kingdom: easy access, digital and online services, continuity of care, managing chronic conditions, and referral and counter-referral system. There are lessons that policymakers and stakeholders at the national and local (city/district) level could potentially learn from. Despite the differences between the UK and Indonesia (e.g. country income level, national health systems), these lessons could be adapted or piloted in some settings.
BEST PRACTICE OF HOSPITAL MANAGEMENT STRATEGY TO THRIVE IN THE NATIONAL HEALTH INSURANCE (JKN) ERA Wahyu Pudji Nugraheni; Asri Hikmatuz Zahroh; Risky Kusuma Hartono
Indonesian Journal of Health Administration Vol. 9 No. 1 (2021): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v9i1.2021.9-22

Abstract

Background: The implementation of the National Health Insurance (JKN) program has created a transformation in the health care system in Indonesia. Many hospitals were stuttering and unable to adapt to the new payment system. Some hospitals complained about INA-CBG rates that were lower than the real rates, so that hospitals suffered losses.Aims: This research aims to take the best practice from one government hospital and one private hospital that is able to thrive in the JKN era.Methods: This study used qualitative research methods through in-depth interviews.Results: The similarity of strategies carried out by the two best practice hospitals to thrive in JKN era are efficiency in business process, investment in human resources, customer relationship management, and stakeholders collaboration.Conclusion: The results of this study can be used as a reference for government and private hospitals in Indonesia to be able to thrive in the JKN era.Keywords: best practice, hospital, National Health Insurance, strategy
Front Matter Vol.9 No.1 Front Matter
Indonesian Journal of Health Administration Vol. 9 No. 1 (2021): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v9i1.2021.%p

Abstract

THE QUALITY OF TUBERCULOSIS SERVICES IN PATIENTS’ PERSPECTIVES: A LITERATURE REVIEW Aufiena Nur Ayu Merzistya; Mateus Sakundarno Adi; Dwi Sutiningsih; Sri Ratna Rahayu
Indonesian Journal of Health Administration Vol. 9 No. 1 (2021): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v9i1.2021.67-81

Abstract

Background: The assessment from the patient's perspective is the assurance of TB service’ quality to achieve the "End TB" target. The information regarding TB services’ quality assessment in the dimensions of QUOTE TB Light is not widely found.Aims: The study aims to review TB services' quality from the patients’ perspective in the 7 dimensions of QUOTE TB Light.Methods: This literature review study searched from 3 databases, namely PubMed, Science-Direct, and Google Scholar since July - October 2020. The inclusion criteria were research on TB services quality, patients’ perspective, and patient assessment of 7 dimenssion. Articles assessed the other health services’ quality and published before January 2015 was excluded.Results: A total of 7 from 89 articles found were selected for review. The patients’ assessments are based on their experiences or satisfactions. Most of the studies are satisfied with service availability, communication, patient-provider interactions, competence, and affordability. The patients’ dissatisfactions about infrastructure and stigma acquired during treatment.Conclusion: Infrastructure and stigma are assessed negatively. The continously evaluation and training for health workers need to be improved so they can serve patients well. The patients’ perspectives can be the major consideration for providers to enhance the TB services’ quality.Keywords: Quality of TB services, QUOTE TB Light, patients’ perspectives, Tuberculosis
Back Matter Vol.9 No.1 Back Matter
Indonesian Journal of Health Administration Vol. 9 No. 1 (2021): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v9i1.2021.%p

Abstract

HEALTHCARE FAILURE MODE AND EFFECT ANALYSIS DESIGN FOR INDONESIA HOSPITAL LABORATORIES: A LITERATURE REVIEW Zhafirah Salsabila; Masyitoh Masyitoh; Amal Chalik Sjaaf; Lia Gardenia Partakusuma
Indonesian Journal of Health Administration Vol. 9 No. 1 (2021): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v9i1.2021.33-54

Abstract

Background: Error rate in medical laboratories is very low. Only one error is identified every 330–1,000 events. The goal of laboratory services should outweigh patient safety in a well-structured manner. Healthcare Failure Mode and Effect Analysis (HFMEA) is a proactive preventive method for identifying and evaluating potential failure.Aims: This study identified factors affecting patient safety in hospital laboratories and described potential risk identification process using the HFMEA.Methods: This study was conducted between March-July 2020 and retrieved data from PubMed, Scopus, and Google Scholar. The data were generalized and extracted into Table 2 based on factors dealing with patient safety in hospital laboratories. This study performed a risk identification design based on the steps of HFMEA.Results: Out of 4,062 articles collected, only 8 articles between 2013–2020 were included for analysis. The highest error rate in laboratories occurred in the pre-analytic phase (49.2%–84.5%). The errors included clotted and inadequate specimen volume, and thus the specimens were rejected. Factors related to patient safety in laboratories were patient condition, laboratory staff performance (including training, negligence, and burnout), facilities, and accreditation.Conclusion: The HFMEA process used the result of hazard analysis with severity and probability criteria categorized into health sector. Decision tree analysis could determine the next step of the work process. The HFMEA must be adjusted to the equipment and technologies in each hospital laboratory. Leader’s commitment in monitoring and evaluation is required to maintain patient safety culture. More comprehensive data from Indonesian hospital laboratories are needed to generate more representative and applicable results.Keywords: error, HFMEA, laboratory, patient safety 
HOW HAS COVID-19 CHANGED THE WAY HOSPITALS DELIVER CARE? Ilham Akhsanu Ridlo
Indonesian Journal of Health Administration Vol. 9 No. 1 (2021): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v9i1.2021.1-3

Abstract

During the pandemic, healthcare facilities in Indonesia faced very vulnerable conditions. So far, dealing with the pandemic has had a significant impact on the national referral system for health services. Hospitals are the last line of defence for the increase in COVID-19 referral cases, leading to high percentage of BOR (Bed Occupancy Rate). We have selected several articles related to health services, especially hospitals, to provide perspectives and contributions to different referral health services.
EXAMINING THE GATEWAY HYPOTHESIS OF DRUG USE IN INDONESIA Aryo Galih Saloko; Asfi Manzilati
Indonesian Journal of Health Administration Vol. 9 No. 1 (2021): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v9i1.2021.95-106

Abstract

Background: Drug misuse is a global threat, including  in Indonesia. Solving issues of drug use is by understanding the drug patterns. One of the important concepts related to public policy in drug addiction is the gateway hypothesis. However, not all researchers support this theory as the initation of drug use is debatable in terms of how a person starts to consume tobacco and alcohol, marijuana, and then other drugs.Aim: This study identified a initiation sequence of drug use, particularly the gateway from soft to hard drugs and its reverse from hard to soft drug patterns.Methods: This study employed a dataset of drug user patients aged 14–67 years from the Rehabilitation Center of National Narcotics Board in 2014-2018. The dataset was assessed using the Addiction Severity Index (ASI). Purposive sampling was utilized in the sample selection.  The dataset was divided into three subsamples to identify the pattern. The subsamples included regular soft-drug users, regular intermediate-drug users, and regular hard-drug users. This study used a quantitative method and cross-tabulation approach along with descriptive statistics.Results: Most of the drug users began consuming intermediate drugs and then soft drugs. Only early users followed the gateway pattern, while those in the intermediate and hard drug pattern mostly did not have the gateway pattern.Conclusion: A policy about prevention of soft drug use (marijuana) in early use may be effective to reduce harder drug use in the future.Keywords: drug use, gateway hypothesis, reversal pattern